Individual
MATTHEW JAMES CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
130 CENTER WAY, CORNING, NY 14830-2255
(607) 973-8265
(607) 937-1089
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV005976
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410047071
RR MEDICARE
—
Enumeration date
09/08/2005
Last updated
10/29/2014
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